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| THE BAY AREA FOOTBAG FOUNDATION           || Bay Area Footbag League |
|            AND FANCY FOOTWORK PRESENT:    ||      647 Fallon Ave.    |
|  A Special Fund Raising Event For The     ||  Santa Clara, CA 95050  |
|       Cystic Fibrosis Foundation          ||      (408) 773-9110     |
|              "KICK-A-THON"                ||            Cystic       |
|                 at the                    ||            Fibrosis     |
|     1995 WORLD FOOTBAG CHAMPIONSHIPS      ||            Foundation   |
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| Please Print Clearly               ||            WAIVER              |
|                                    || I, the undersigned, agree to   |
| Name________________ Phone________ || indemify and hold harmless the |
|                                    || the Cystic Fibrosis Foundation |
| Address___________________________ || from all cost, expenses, and   |
|                                    || liabilities arising out of my  |
| City____________ State___ Zip_____ || or my child's participation in |
|                                    || this event to benefit the      |
======================================| Cystic Fibrosis Foundation.  I |
| Instructions:                      || hereby waive all claims for    |
| 1. Participants should ask their   || damage or loss to my or my     |
| relatives, friends and neighbors   || child's person or property     |
| to make a pledge for the KICK-A-   || which may be caused by any act |
| THON. A round dollar amount.       || by the Cystic Fibrosis Founda- |
| 2. An invoice will be mailed to    || tion, its officers, agents, or |
| the sponsors after the 1995 World  || employees arising directly or  |
| Footbag Championships KICK-A-THON. || indirectly from my or my       |
| Checks or money orders made out to || child's participation in this  |
| the Cystic Fibrosis Foundation     || event, and I hereby assume all |
| then will be mailed directly to    || liability from such event.     |
| the Cystic Fibrosis Foundation,    || IMPORTANT: Participants under  |
| 417 Montgomery St., San Francisco, || age 18 must have this form     |
| CA  94104                          || signed by a parent or guardian |
| 3. Record sponsors and other       ||                                |
| informaion on this form.  Use as   || ______________________________ |
| many sheets as necessary.          || Participant's Signature        |
| 4. The chairperson at the event    ||                                |
| site will lead the KICK-A-THON and || ______________________________ |
| answer any questions regarding the || Parent or Guardian             |
| event.                             ||                                |
|             REMEMBER:              || _______________                |
| SAFETY IS FIRST AND FOREMOST IN    || Date                           |
| EVERY CFF EVENT!                   ||           Sponsor's Note       |
======================================| Donations are tax-deductible   |
| Please Print Clearly               || within the limits of the law.  |
|             Sheet Totals = $______ ||                                |
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| Sponsor's Name       Sponsor's Address              Phone    Pledge  |
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| Cystic Fibrosis Foundation, 417 Montgomery St. San Francico CA 94104 |
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